Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09842 | Date 30/08/2025 |
| Token No | SM/25-26/7147 30/08/2025 | Serial | 009 |
| Patient Name | Baby DEWANSHI SINGH | Contact No | 9519160255 |
| Address | 81/B PRAVASHNAGAR SERAMPORE 712249 | Age | 1 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||